Design, execute, and ensure operational excellence of risk adjustment coding and clinical documentation programs.
Create scalable, physician-centric educational programs for accurate and complete diagnosis documentation.
Lead a multidisciplinary team of coders, auditors, and analysts to ensure operational excellence and talent development.
Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. They're the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Leads market clinical informatics plans and data analysis.
Champions clinical projects and systems for end-user efficiency.
Identifies areas for performance improvement in clinical applications.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually. They have more than 157,000 employees and are committed to creating a more just and innovative healthcare delivery system.
Serve as a subject matter expert and coach to QA staff and leaders across multiple states, promoting consistent quality practices and continuous improvement.
Facilitate regular meetings with state QA leaders to review performance goals, challenges, and improvement opportunities.
Analyze QA metrics, KPI dashboards, and audit findings to identify trends and areas for operational improvement.
Dungarvin is dedicated to enhance the quality of life for people with intellectual and developmental disabilities, including those with mental health, behavioral, or complex medical needs. Dungarvin has services nationwide, and is united by a shared commitment to making a real difference.
Provide project coordination support and leadership for designated information systems.
EMR system analysis and design.
Supports strategic initiatives and projects, including collaborating with physicians and staff.
UChicago Medicine has been at the forefront of medicine since 1899, providing superior healthcare with compassion. They are advancing medical innovation, serving the health needs of the community, and moving collective knowledge forward, seeking passionate, talented, and committed employees.
Leads analysis of clinical and technical denials, using analytics tools to identify patterns and trends.
Performs root cause analysis on denied accounts and uses process improvement expertise to guide subject matter experts.
Oversees denial prevention committee reports and summaries, maintaining client relationships to drive best practice implementations.
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. They believe their people are the most important part of who they are and empower them to challenge the status quo.
Creates and delivers education to the Coding Team, Clinical Documentation Nurses, Physicians, and other licensed providers to improve documentation quality.
Collaborates with CMOs to ensure the integrity of the Health Record is established through best practices in Clinical Documentation and Coding.
Monthly monitoring of the clinical dashboard demonstrating improvement in statistical targets.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.
Supports implementation of the Quality Improvement and Patient Safety initiatives.
Defines system and process requirements that will optimize system performance and technology utilization by clinical practitioners.
Designs information systems and technologies that support efficient and intuitive clinical workflows.
Nationwide Children’s Hospital is dedicated to improving the lives of children through innovative care and groundbreaking research. With 15,000 employees, they foster a collaborative culture focused on diversity, equity, and inclusion, making it a place where passion meets purpose.
Analyze and support non-clinical workflows across CM, CDM, and UM programs.
Translate operational and clinical requirements into process maps, SOPs, and job aids.
Support workflow automation and system optimization initiatives.
Personify Health created a personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.
Analysis of operational and performance data within CPI programs and geographic markets, providing recommendations that directly inform strategic decision making.
Responsible for leading execution of ongoing process operations across department programs, ensuring efficiency, accuracy, and consistency.
Proactively identify areas of improvement and facilitate communication amongst key stakeholders to drive strategic alignment on opportunities for optimization and automation.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. They are the largest network of independent primary care in the country. They foster a collaborative, inclusive, and remote-first culture, driven by a passion for tackling complex healthcare issues with respect and open-mindedness.
Conduct quality audits of inpatient clinical determinations to ensure alignment with clinical guidelines and quality standards
Analyze QA findings and translate insights into actionable recommendations for operational leaders and cross-functional partners
Provide coaching and feedback to improve clinical decision accuracy, guideline adherence, and overall team performance
Cohere Health delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. They work with over 660,000 providers and are backed by leading investors such as Deerfield Management. The coherenauts who succeed there are empathetic teammates who are candid, kind, caring, and embody their core values and principles. Cohere is deeply invested in ensuring that they have a supportive, growth-oriented environment that works for everyone.
Own the execution of clinician chart audits and watchlist tracking.
Investigate clinical incidents, chart audits, and collaborate on root cause documentation.
Track quality, safety, and clinician performance metrics using manual and automated tools.
Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. They offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Assists in the maintenance of structures and processes which support improvement and patient safety.
Uses clinical knowledge in formal and informal consultation with individual staff, clinicians and managers, to address clinical quality and safety concerns.
Participates in clinical adverse event task groups.
Dartmouth Health is a nationally recognized Academic Medical Center set in the White Mountains of New Hampshire, stretching over New Hampshire and Vermont. They offer a rigorous, research-focused environment and are anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH.
Conducts audits of clinical documentation reviews to ensure compliance and regulatory requirements.
Develop and deliver training sessions based on audit findings to support CDI team competency.
Oversee the accuracy, specificity, and completeness of clinical documentation.
Adventist HealthCare is a faith-based, not-for-profit organization dedicated to improving the health and well-being of people and communities. They employ over 6,000 professionals and are one of the longest serving healthcare systems in the Washington, D.C., area.
Improve end-to-end patient support workflows, from first contact through resolution and follow-up.
Analyze support and call center metrics to uncover trends, pain points, and operational gaps — and turn insights into action.
Champion and evolve our QA program — ensuring we’re not just scoring interactions, but using them to elevate performance and consistency.
Midi Health's mission is to redesign care for women in midlife. They are growing fast and seeking purpose-driven people to help them build a best-in-class team.
Responsible for planning and executing quality and oversight activities to ensure operational compliance.
Responsible for internal and external case audits for Capital and our delegated UM vendors.
Responsible for educating staff on findings, and the audit tool ensuring a consistent approach.
Capital Blue Cross promises to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”
Oversees implementation and performance metrics to advance and evaluate progress across the CPA portfolio.
Establishes and executes effective and efficient communication mechanisms which enable continuous exchange of ideas, information, and program developments among team members and across organizational leaders.
Accelerates the implementation of innovations and improvement efforts through rapid-cycle change, in close partnership with clinical and operational leaders.
UChicago Medicine has been at the forefront of medicine since 1899. They provide superior healthcare with compassion, always mindful that each patient is a person, an individual. They are working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward.
Responsible for the design, build, testing, validation, maintenance and ongoing support of Epic Inpatient Orders.
Works across interdisciplinary workgroups to accomplish set goals as a team.
Is a representative of the Information Technology team and is responsible for establishing, fostering and maintaining positive business relationships with Emory co-workers.
Emory Healthcare is a health system in Atlanta, Georgia. They offer comprehensive health benefits, student loan repayment assistance, family-focused benefits, wellness incentives, and ongoing mentorship and leadership programs.
Perform comprehensive reviews of patient charts to identify gaps in documentation.
Collaborate with providers and clinical staff to educate them on accurate documentation.
Maintain accurate records of chart reviews, coding opportunities identified, and outcomes.
Bluestone delivers exceptional care to patients living with complex, chronic conditions and disabilities. Our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver preventative, proactive and tailored care. Bluestone has been named to the Star Tribune's Top Workplace list for the 13th year in a row and also achieved Top Workplace USA 2021-2025!
Provide advanced analytical, reporting, and problem‑resolution support across various departments.
Partner with operational, technical, clinical, and compliance teams to analyze trends and optimize processes.
Leverage technical acumen, including FACETS and reporting tools, to drive improvements and ensure compliance.
Capital Blue Cross is committed to providing exceptional service to their team and the community. They foster a flexible work environment where health and well-being are prioritized, valuing professional and personal growth through investment in training and continuing education.